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HomeMy WebLinkAbout2011-00659 - roofing CITY OF ORONO PERMIT NO.: 2011-00659 �' 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE �ssuEn: 07/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 261 CYGNET PL PIN : 04-117-23-23-0013 LEGAL DESC : SWAN LAKE ADDN : LOT O10 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 7,123.50 NOTE: ROOP'ING PERMITS [SSUED WITHOUT ENOUGH NOTICE POR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NO"CICE, PRIOR I'O WORK BEING S��ARTED) MUS7'PROVIDE COMPLETE SET OP PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVI�RTISING SIGNS MAY ONLY BE ON THE PROPERI'Y DURING THE TIME"CI IE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BG REMOVED. APPL[CANT PERMIT FEE SCHEDULE 162.25 WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 3.56 2274 CAPP RD ST PAUL, MN 55114- MISC FEE 0.00 (651)251-0910 TOTAL 165.81 Minnesota State License#: 4229 PAID WITH CC# 4291 OWNER DALE, MICHAEL 261 CYGNET PL LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hcrein.This permit will cxpire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. '1'he applicant is responsible for assuring all required inspections are requesled in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Pcrmitee Signature Date Issued By � nature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. JUL-14-2011 02 :42 PM WALKER, ROOFING 6512510916 P. 01 ��...�...� . �...... . .rr■.v�w.■v.■ .v■ ..��v� �Iw� •�v� n � (windows� doors, sldln , re-roof, etc.) Meiling Address; Permit number, o?O//^�Q�o$ . O¢0,j�O PO Box 68 Crystel Bey, MN 55323-0066 Date received; 7- 1<S- I � � ��';, �, Streat Addrsea' Reoelved by; �, 2760 Kelley Parkw�y Plen revlew fee: '�� e o��� Orono, MN 55356 � _-`-• 7otel Fee; /�0 5 8 / Maln: 952•249-4600 Fax; 852-Z49-4616 www.cl,orono.mn.�,$ • This appllcatlon form must be completed in full�nd eli requirod informatlon muet be submitted, Incomplete applicetlons wlll be returned. (Please print) ✓�s� GENERAL INFORMATION: r1 �{8'OZ I 3Z�F 31�t 3 `�Z-� l Job Site Address: [, �O ( ��Y�SN�� ��. WIII thle be a Parade of Homee, Remodeivrs$howcase Home or other Display Mome9 Yes No �/�3 I1 yea,a speclel evenr parm�f ie roqul►ed wfth Pollco DepaRment end Clty Councll approvel QO days pNor to the event, Shuttle bus ssrvke wlll be requlrod unleas eppllcenf demonatrales suMc/ent on-sitv perkiny Is aveilpble. Non-permlhed evenfs will not be ellowed, 55i/c.{ CONTRACTOR/APPLICANT INFORMATION: ��'� Name: � N State License# t.��� Expiretion Date; '3� � Lead Certific�tion Numb�r: �,-�' - g �q� _ �p - p 5 �� Expiratlon Date: (Mr work on homos t�at we�constructod prlor to 1978 Phone: � �� �� B 1 I - �Iq � (office� (cell) Meiling Addreas: P Clty: L ZIP; ( Cont�ct Person: �^,�.� Appllcent Is; recto I Homeowner �ci►cis o�•� Emeil�nd/or Fex: PROPERTY OWN�R INFORMATION: Name: M 1 K� �A'L.� Phone (day); q����3- 3� I'I Addre�s' 2F � ��c��r �4. Gty: LbhKst Ii� Z1P� 5S� S� Email andlor Fax PROJECT INFORMATION: Type of proJect: Any earth movement may requlre ❑ Door(s) ❑ Remodel ❑Water Damape MCWD review 8 permits: Mlnnehah�Creek W�tershed Dl�trlct(MCWD) ❑Window(s) (�Repeir ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoretivn ❑ Other (specify) Deepheven, MN 55381 Phone: 962-471-0690 �e-roof 0 Fire Demege Fex; 852-471-0682 www,,�tli��h�hacreek.ora Overall Pro ec! Descrl tlon: 0 � o D ��-�,,��;� Eatlmated Constructlon Valuetlon of p�oJe�t(excludln� land) $ -T����j , �� � ��,_� APPUCANT ACKNOWLEDOEMENT; I.�,I , . Agrees to provide all Info�metion requlred or requeated by the Building Depertment; � �I +� . CeRlfles thet the Informatlon supplled Ig true and correct to the best of his/her knowledge, The appllc�ril,r�ecognizes that they are solely responsible for submittinQ a complete appllcatlon being �were that upon fallure to do so, the�teGf has no al�ernative but to re�ect�t unt���t�s comp�ete; ; � . Some or ell of the Information that you are asked to p�ovlde on this epplicatlon le cleeeltied by Stete i&aiv i�s elther privata or confldential, Private deta la Information whlch generally cannot be glven to the public but can be giv�m�tb the eubJect of the dete, Confldentlel dete is intormetlon whlch generelly cannot be given to either the public or the eub�bdt of the deta. Our purpose end intended uee of this Information is to ennuelly updete our recorde end recorda of other;ytiv�rnmentel agancles ra uirod b lew, If ou refuae to�u I t e Inform8tion the a lication ma not be issued, � � Applicant'a Slgnature: Date: i{� Last Updated: 03-01-2011 I �/ TIME ✓ CITY OF ORONO CALLED IN I vl INSPECTION TICE CHEDULED ( PERMIT NO — �c PLETED ADDRESS � �� OWNER � L E NO. � CONTRACTOR >: DESCRIPTION � � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED r I SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice